CHI-HOOTA-WEI LODGE #617
ORDER OF THE ARROW
BOY SCOUTS OF AMERICA

Lodge Officer Candidacy Form

In an attempt to provide lodge officer candidate information and to encourage more participation during lodge elections, each Arrowman that will seek election, is requested to file the following form with the BSA Council Office at 2829 Kanawha Blvd., East, Charleston, WV 25311 by: October 7th 2002.

Arrowman's Name: _____________________________________________

Lodge Office you seek to be elected to: ____________________________________

Your Chapter: ________________________________________

Dues are paid to: _________________________________________

Year of Ordeal Membership ________ Brotherhood _________Vigil _________

Provide a statement of your qualifications and why you are seeking this position:

Provide a statement that you will be active in the lodge and will accept the responsibility of the office if elected: